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Pedal Pathology Potentiated by Personal Pedicure Procedures in the Presence of Painless Peripheral Neuropathy

Michelle S. Zhubrak Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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Timothy K. Fisher Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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David G. Armstrong Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

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Although the literature is replete with recommendations for people with diabetes—particularly those with neuropathy, ischemia, or both—to avoid caring for corns and calluses on their own feet, there are virtually no reports of damage associated with this care. The purpose of this article is to report on the potential perils of personal pedicures in the presence of peripheral neuropathy by using a case-based example. In this article, we report on the inappropriate use of a Ped Egg personal pedicure device that led to limb-threatening lesions in a gentleman with diabetic peripheral sensory neuropathy. (J Am Podiatr Med Assoc 103(5): 448–450, 2013)

Corresponding author: David G. Armstrong, DPM, MD, PhD, Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, 1501 N. Campbell Avenue Tucson, Arizona 85724-5072. (E-mail: armstrong@usa.net)
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